HomeMy WebLinkAbout10-20-14 pennsyLvania
I, DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXESRECORDED OFFj"WiTANCE TAX
-2 REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION REGISTEP nSTIW�,�AENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 ?0119 OCT 20 F112 1^
DATE 10-14-2014
C L E R: ESTATE OF HORN DAVID R
0 R P H A to!S"' DATE OF DEATH 02-05-2011
FILE NUMBER 21 11-0483
C
MCOUNTY CUMBERLAND
MILLER DOUGLAS G
ACN 101
60 W POMFRET ST
Amount Remitted
CARLISLE PA 17013-3243
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
--f -Hi -
EX AFP lcli:iY)--- --*;; -fWHiiffAE TAX fEiE�f OF ACCOUNT
ESTATE OF:HORN DAVID R FILE NO. : 21 11-0483 ACN: 101 DATE: 10-14-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-28-2014
PRINCIPAL TAX DUE: 1,009.65
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-27-2014 CDO18948 .00 1,009.65
09-19-2014 CDO19704 72.28- 72.28
TOTAL TAX PAYMENT. 1,009.65
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.